Recent and Lifelong Sexual Dysfunction in a Female UK Population Sample: Prevalence and Risk Factors
Abstract
Introduction: To date, no studies have tried to explore the prevalence and risk factors of recent and lifelong female sexual dysfunction (FSD) in the United Kingdom using validated questionnaires for the assessment of symptom severity and levels of associated sexual distress. Aim: To estimate the prevalence and comorbidity of recent and lifelong FSD and to further identify potential psychosocial and behavioral risk factors in a nationally representative sample of UK women. Methods: One thousand four hundred eighty-nine unselected female twin individuals aged 18–85 years. Validated questionnaires, such as the Female Sexual Function Index (FSFI) and the Female Sexual Distress Scale, were used for the assessment of symptom severity and degree of sexual distress. Main Outcome Measures: Prevalence and comorbidity of recent and lifelong FSD according to the FSFI cutoff points and the existence of sexual distress. Lifelong FSD refers to an individual's average sexual function ever since they have been sexually active. We further calculated odds ratios (ORs) with 95% confidence interval for FSD. Results: We found that 5.8% of women reported any recent sexual dysfunction and 15.5% reported any lifelong sexual dysfunction. Hyposexual desire was the most prevalent recent and lifelong sexual complaint (21.4% and 17.3%, respectively). High intercorrelations were found for both recent and lifelong FSD (r = 0.3–0.7). The most common independent, clinical predictor of recent and lifelong FSD diagnosis was relationship dissatisfaction (OR 1.2–4.5). Experience of abuse (OR 1.6–2.1), increased anxiety, and obsessive compulsive behavior were the most common predictors for lifelong FSD. Conclusions: The study provides the first UK population-based assessment of recent and lifelong FSD using validated outcome measures and accounting for sexual distress. Our results indicate that FSD is common in the general population and is influenced by psychosocial factors with different pathoetiologies underlying recent and lifelong FSD.
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Burri and Spector found that 15.5% of women reported lifelong female sexual dysfunction.
“and 15.5% reported lifelong FSD.”
Hypoactive sexual desire was the most prevalent recent and lifelong sexual complaint (21.4% and 17.3%, respectively).
“Hypoactive sexual desire was the most prevalent recent and lifelong sexual complaint (21.4% and 17.3%, respectively).”
Burri and Spector found that 5.8% of women reported symptoms that constituted a diagnosis of female sexual dysfunction.
“Burri and Spector 1 found that 5.8% of women reported symptoms that constituted a diagnosis of FSD”
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McCabe, M. P., Sharlip, I. D., Lewis, R., Atalla, E., Balon, R., Fisher, A. D., Laumann, E., Lee, S. W., & Segraves, R. T. (2016) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2015.12.034 · Cited by 577 · see citing works
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- Authors
- Burri, A., & Spector, T.
- Affiliations
- Queen Mary University of London (GB)
- Department of Twin Research and Genetic Epidemiology, King's College , London , UK
- Corresponding author
- Burri, Andrea
- ORCID
- Burri, Andrea
- Venue
- The Journal of Sexual Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-09-01
- Volume
- 8
- Issue
- 9
- Pages
- 2420-2430
- ISSN
- 1743-6095 (ISSN-L)
- 1743-6109
- OpenAlex
- W1935585958
- Cited by
- 162
- References
- 54
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 6 · 2023: 7 · 2022: 11 · 2021: 12 · 2020: 13 · 2019: 11 · 2018: 12 · 2017: 14 · 2016: 15 · 2015: 8 · 2014: 16 · 2013: 12 · 2012: 14
- FWCI
- 9.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- The Journal of Sexual Medicine (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Pfizer
- Wellcome Trust
- National Institute for Health and Care Research
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Social Sciences › Sociology and Political Science › Sex work and related issues
- Keywords
- female sexual dysfunction, prevalence, risk factors, sexual distress, relationship dissatisfaction, abuse experience, anxiety, obsessive-compulsive behavior, comorbidities, women
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Female, United Kingdom, Humans, Interpersonal Relations, Middle Aged, Psychology, Surveys and Questionnaires, Risk Factors, Sexual Dysfunction, Physiological, Comorbidity, Prevalence, Logistic Models, Sexual Dysfunctions, Psychological, Young Adult
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